ORN Training – Contingency Management: Overview-Slides

Slides

Pdf Summary

The document provides a comprehensive overview of Contingency Management (CM) as an intervention for substance use disorders, with a particular focus on its application within American Indian and Alaska Native (AI/AN) communities. Funded by a SAMHSA grant and not necessarily representing official U.S. Government policies, the initiative aims to promote culturally tailored education and intervention services through the Opioid Response Network (ORN).<br /><br />ORN assists various community groups by offering free, culturally responsive education, training, and consultation tailored to address specific needs in managing the opioid crisis. All services are provided with sensitivity to local cultures and sovereignty, emphasizing preventive and harm reduction strategies.<br /><br />In practice, CM provides positive reinforcement — tangible rewards — to encourage drug abstinence over a defined period. The document highlights CM’s foundations in behavioral psychology, explaining that addictive substances are often reinforcing, creating a need for alternative, positive reinforcers to modify behavior.<br /><br />The document presents CM as aligning with cultural values in AI/AN communities, promoting trust, respect, and connection. It notes successful clinical trials, such as the Rewarding Recovery and HONOR studies, which demonstrated CM's efficacy in these communities. CM's flexibility allows for cultural centering, enabling adjustments like offering culturally significant rewards.<br /><br />Challenges, such as staff resistance and funding concerns, are addressed. The material recommends a strategic focus on staff training, community engagement, and compliance with guidelines like the Office of Inspector General's Anti-Kickback Statute.<br /><br />The overview also touches on implementation considerations, highlighting the importance of collaboration with tribal leaders and elders, and addressing barriers like transportation. The document concludes with activity suggestions and emphasizes reinforcing positive behaviors while managing instances of relapse without punitive measures.

Keywords

Contingency Management

substance use disorders

American Indian

Alaska Native

Opioid Response Network

culturally tailored intervention

behavioral psychology

positive reinforcement

clinical trials

community engagement